What are the responsibilities and job description for the Insurance Billing Specialist position at PrairieStar Health Center, Inc.?
JOB TITLE: INSURANCE BILLING SPECIALIST
REPORTS TO: REVENUE CYCLE MANAGER
JOB SUMMARY / OVERVIEW:
- Interrelates with providers, insurance companies, other health care organizations, the public, and staff in relation to insurance, credentialing, invoicing, accounts payable accounts receivable, journal entries, and reconciliation.
PRIMARY DUTIES:
Every effort has been made to include all duties; however, the omission of a specific statement of duties does not exclude the duty from the position if the work is similar, related or is a logical assignment of the position.
- Respond knowledgeably and courteously to inquiries from patients, providers, staff and insurance companies.
- Process insurance claims on a daily basis. Work promptly and efficiently so claims are paid timely.
- Post payments from insurance companies to proper patient accounts.
- Process refunds for insurance companies and patients as necessary.
- Follow up on, track, and investigate claim denials or claims not paid correctly for current and aged receivables.
- Keep abreast of all changes and billable charges within individual insurance companies.
- Creates, tracks, and collects all invoices for medical records, OSHA, OCM, ect.
- Performs miscellaneous job-related duties as assigned.
EDUCATION / QUALIFICATIONS:
- High school diploma or GED.
- Experience with medical insurance billing required
- Familiarity with ICD and CPT coding helpful.
- Knowledge of computer accounting programs, spreadsheets and applications.
- Knowledge of accounts receivable, basic accounting, and management principles.
EXPERIENCE / KNOWLEDGE / SKILLS:
- Knowledge of medical terminology, coding, and office procedures.
- Knowledge of third party and insurance procedures, regulations, and billing requirements.
- Ability to identify, solve problems and correct errors.
- Ability to interpret billing and claims reports.
- Ability to function independently in prioritizing and organizing daily work.
- Demonstrate attention to detail.
- Ability to speak, read, write and comprehend instructions in English.
Equal Opportunity Employer
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
Salary : $36,484 - $47,847